Tammie West Gore, DNP, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Silsbee, TX
NPI 1316401169 · NPPES record last updated Jan 5, 2024
Key facts
- NPI
- 1316401169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP140315 (TX)
- Practice address
- 105 Highway 96 S
Silsbee, TX 77656-4803 - Phone
- (409) 385-3118
- Fax
- (409) 351-3686
- NPI assigned
- Jan 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
105 Hwy 96 S
Silsbee, TX 77656-4803
Phone (409) 385-3118
Hospital & facility affiliations
- Baptist Beaumont Hospital
- Christus Southeast Texas- St Elizabeth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190418001366 | TX | Practitioner - Nurse Practitioner | 5991046062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Health & Wellness Clinic, PLLC | Family | Current |
Accepting new patients |
Locations
105 Highway 96 S
Silsbee, TX 77656
Phone (409) 385-3118
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDJECD/Endpoint/BDJECD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP140315 | TX | Yes |
Addresses
Primary practice location
105 Highway 96 S
Silsbee, TX 77656-4803
Mailing address
105 Highway 96 S
Silsbee, TX 77656-4803
Phone (409) 385-3118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 661956 | Other | TX | RN LICENSE NO. |
| AP140315 | Other | TX | APRN LICENSE NO. |
| 29019 | Other | TX | RX AUTH. NUMBER |
Other providers in Silsbee, TX
- Ghaleb S Al Awar MD PA
- Hailey Gilder
- Karen Kay Goad
- Golden Triangle Living Center
- Golden Triangle Living Center, Inc
- Gulf Coast Health Center Inc
- Harkey Resources, LLC
- Sharon Harper
- Haylee Hatch
- Damian Lamark Haynes
All providers in Silsbee, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.